Free Request for Confidentiality - Texas

50-284 (Rev. 12-07/4)

REQUEST FOR CONFIDENTIALITY
Appraisal district name Address

Date Phone (area code and number)

Confidentiality of home addresses of a peace officer, a county jailer, a security officer, an employee of Texas Department of Criminal Justice, a victim of family violence, an officer or employee of a community supervision and corrections department, a federal judge and a state judge. Under Section 25.025, Tax Code, if you are a peace officer, county jailer, commissioned security officer, employee of the Texas Department of Criminal Justice, a victim of family violence, an officer or employee of a community supervision and corrections department, a federal judge or a state judge, you may request that information in the appraisal records identifying your home address be restricted from public access. By completing and submitting this form to the appraisal district, you are requesting the confidentiality of information identifying your home address. If you want to rescind this confidentiality request, you must do so in writing to the appraisal district.

Step 1: Name and Address To be Held Confidential Step 2: Qualification

Name Home address (number and street) City, town or post office, state, ZIP code

Commissioned Security Officer (as defined by § 1702.002,
Occupations Code)

County or Municipal Attorney (current or former, whose jurisdiction includes any criminal law or child protective services matter) County Jailer (as defined by § 1701.001, Occupations Code) Employee, Texas Dept. of Criminal Justice Victim of Family Violence (as defined by § 71.004, Family Code) Federal Judge (as defined by § 25.025(a)(1), Tax Code)

Peace Officer (current or former), (as defined by Article 2.12, Code of Criminal Procedure) Employee of District Attorney (current or former) Employee of Criminal District Attorney (current or former) Officer or Employee of a Community Supervision and Corrections Department
(as defined by § 76.004(b), Government Code)

State Judge (as defined by § 25.025(a)(1), Tax Code)

Step 3: Property Description

Property Parcel Identification No.

Legal Description of Property

Step 4: Property Location Address

Name of Owner (to be held confidential if property location is home address of owner making an election under Step 2) Property Location (number and street) City, town or post office, state, ZIP code

For Appraisal District Use Only

I certify the information in this document and any information attached is true and correct to the best of my knowledge and belief.
Signature of Person Requesting Confidentiality

If you make a false statement on this form, you could be found guilty of a Class A misdemeanor or a state jail felony under Texas Penal Code Section 37.10. By filing this document with the appraisal district, information in the appraisal records that identifies your home address will be restricted from public access until you rescind the request in writing. However, pursuant to Section 25.025, Tax Code, the information will be available for the official use of the appraisal district, the state, the comptroller, taxing units and political subdivisions of this state.

50-284 (Rev. 12-07/4) (Back)

Definitions of Terms: Section 25.025, Tax Code
(26) officers appointed by an appellate court under Subchapter F, Chapter 53, Government Code; (27) officers commissioned by the state fire marshal under Chapter 417, Government Code; (28) investigators commissioned by the commissioner of insurance under Article 1.10D, Insurance Code; (29) apprehension specialists commissioned by the Texas Youth Commission as officers under Section 61.0931, Human Resources Code; (30) officers appointed by the executive director of the Texas Department of Criminal Justice under Section 493.019, Government Code; (31) investigators commissioned by the Commission on Law Enforcement Officer Standards and Education under Section 1701.160,Occupations Code ; (32) commission investigators commissioned by the Texas Commission on Private Security under Section 1702.061(f), Occupations Code; (33) the fire marshal and any officers, inspectors, or investigators commissioned by an emergency services district under Chapter 775, Health and Safety Code; and (34) officers commissioned by the State Board of Dental Examiners under Section 254.013, Occupations Code. A commissioned security officer is defined in Section 1702.002, Occupations Code, as "a security officer to whom a security officer commission has been issued by the board." [Board means the Texas Commission on Private Security.] A county jailer is defined in Section 1701.001, Occupations Code, as a "person employed as a county jail guard under Section 85.005, Local Government Code." A victim of family violence means a victim of "family violence" as defined by Section 71.004, Family Code, if as a result of the act of family violence against the victim, the actor is convicted of a felony or a Class A misdemeanor. Pursuant to Section 71.004, Family Code, "family violence" means: "(1) an act by a member of a family or household against another member of the family or household that is intended to result in physical harm, bodily injury, assault, or sexual assault or that is a threat that reasonably places the member in fear of imminent physical harm, bodily injury, assault, or sexual assault, but does not include defensive measures to protect oneself; (2) abuse, as that term is defined by Sections 261.001(1)(C), (E), and (G), by a member of a family or household toward a child of the family or household; or (3) dating violence, as that term is defined by Section 71.0021." An officer or employee of a community supervision and corrections department means officers and other employees of a community supervision and corrections department established under Section 76.002, Government Code who "conduct presentence investigations, supervise and rehabilitate defendants placed on community supervision, enforce the conditions of community supervision, and staff community corrections facilities" as provided under Section 76.004(b), Government Code. A federal judge is defined in Section 25.025(a)(1), Tax Code, as: "a judge, former judge, or retired judge of a United States court of appeals; a judge, former judge, or retired judge of a United States district court; a judge, former judge, or retired judge of a United States bankruptcy court; or a magistrate judge, former magistrate judge, or retired magistrate judge of a United States district court." A state judge is defined in Section 25.025(a)(1), Tax Code, as: "a judge, former judge, or retired judge of an appellate court, a district court, or a county court at law of this state; or an associate judge appointed under Chapter 201, Family Code, or a retired associate judge or former associate judge appointed under that chapter."

A peace officer is defined by Art. 2.12, Code of Criminal Procedure as: (1) sheriffs, their deputies, and those reserve deputies who hold a permanent peace officer license issued under Chapter 1701, Occupations Code; (2) constables, deputy constables, and those reserve deputy constables who hold a permanent peace officer license issued under Chapter 1701, Occupations Code; (3) marshals or police officers of an incorporated city, town, or village, and those reserve municipal police officers who hold a permanent peace officer license issued under Chapter 1701, Occupations Code; (4) rangers and officers commissioned by the Public Safety Commission and the Director of the Department of Public Safety; (5) investigators of the district attorneys', criminal district attorneys', and county attorneys' offices; (6) law enforcement agents of the Texas Alcoholic Beverage Commission; (7) each member of an arson investigating unit commissioned by a city, a county, or the state; (8) officers commissioned under Section 37.081, Education Code, or Subchapter E, Chapter 51, Education Code; (9) officers commissioned by the General Services Commission; (10) law enforcement officers commissioned by the Parks and Wildlife Commission; (11) airport police officers commissioned by a city with a population of more than 1.8 million that operates an airport that serves commercial air carriers; (12) airport security personnel commissioned as peace officers by the governing body of any political subdivision of this state, other than a city described by Subdivision (11), that operates an airport that serves commercial air carriers; (13) municipal park and recreational patrolmen and security officers; (14) security officers commissioned as peace officers by the comptroller; (15) officers commissioned by a water control and improvement district under Section 49.216, Water Code; (16) officers commissioned by a board of trustees under Chapter 54, Transportation Code; (17) investigators commissioned by the Texas State Board of Medical Examiners; (18) officers commissioned by the board of managers of the Dallas County Hospital District, the Tarrant County Hospital District, or the Bexar County Hospital District under Section 281.057, Health and Safety Code; (19) county park rangers commissioned under Subchapter E, Chapter 351, Local Government Code; (20) investigators employed by the Texas Racing Commission; (21) officers commissioned under Chapter 554, Occupations Code; (22) officers commissioned by the governing body of a metropolitan rapid transit authority under Section 451.108, Transportation Code, or by a regional transportation authority under Section 452.110, Transportation Code; (23) investigators commissioned by the attorney general under Section 402.009, Government Code; (24) security officers and investigators commissioned as peace officers under Chapter 466, Government Code; (25) officers employed by the Texas Department of Health under Section 431.2471, Health and Safety Code;